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Patient experiences of living with chronic leg ulcers and making the decision to seek professional health-care

Artikel i vetenskaplig tidskrift
Författare J. Marczak
Gun Rembeck
Eva-Lisa Petersson
Lena Margareta Nordeman
Publicerad i Journal of Wound Care
Volym 28
Nummer/häfte 1
Sidor S18-S25
ISSN 0969-0700
Publiceringsår 2019
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering
Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Sidor S18-S25
Språk en
Länkar dx.doi.org/10.12968/jowc.2019.28.Su...
Ämnesord attitude to health, general practice, health behaviour, health knowledge, leg ulcer, self-care, quality-of-life, help-seeking, prevalence, intervention, ulceration, behaviors, people, Dermatology
Ämneskategorier Hälsovetenskaper

Sammanfattning

Objective: The aim of the study was to elucidate how patients experience living with chronic leg ulcers before consulting a health professional, and to determine the reasons behind the decision to visit a health-care centre. Method: A qualitative interview study was carried out. There were 11 participants, five men and six women (age range: 27-83 years old). All participants in the study were patients visiting the public primary medical centre in western Sweden for the first time for a chronic leg ulcer. The data was obtained by recorded interviews. Systematic text condensation (STC) by Malterud was applied to the analysis. Results: The analysis identified five main categories of the issues relating to ulcers to their ulcers: convictions, pain, emotions,strategies, and health-care treatment. At first, patients accepted the inconvenience of a leg ulcer. Gradually, they focused more on strategies dealing with the ulcer, and withdrew from their social context, while their fears increased. Many needed support in the decision to seek professional care. Conclusion: Despite pain, anxiety, emotional lability, and disappointment, they had strategies to cope with ulcers on their own. A social network seems crucial for the decision to seek professional health care and greater knowledge of leg ulcers, particularly in the elderly population, is needed.

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